Pancho - TOT-CRI-73

Code: TOT-CRI-73
Mercy ID: V-02252-01
Encounter Date: 05/22/2006
Last: Totten
First: Cristina
DOB: 11/14/1973
County: Dekalb
Street: 2035 Idlewood Rd #K
City: Tucker
State: GA

Zip

30084-

Cell

(770) 875-4265

Family Status

Single parent w/children

COB

El Salvador

Gender

Female

Housing

Transitional

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: G. Landeros
Data Entry: R. Gonzalez